Figure legends
Figure 1: Computed tomography images showing (a) prolapse of the stomach, (b) prolapse of the pancreatic body, and (c) an 8-mm solid component in the pancreatic body
Figure 2: Laparoscopic images showing (a) a huge hiatal hernia, wherein a large part of the stomach had prolapsed into the mediastinum, (b) suturing of the hernia orifice with a non-absorbable thread, and (c) distal pancreatectomy in the normal position.